脉浮者在前，其病在表；浮者在后，其病在里；假令濡而上鱼际者，宗气泄也；孤而下尺中者，精不脏也；若乍高乍卑，乍升乍坠，为难治。
寸口脉缓而迟，缓则阳气长，其色鲜，其颜光，其声商，毛发长；迟则阴气盛，骨髓生，血满，肌肉紧薄鲜鞕。阴阳相抱，荣卫俱行，刚柔相得，名曰强也。
寸口脉浮为在表，沉为在里，数为在腑，迟为在脏。假令脉迟，此为在脏也。
寸口脉浮而紧，浮则为风，紧则为寒。风则伤卫，寒则伤荣。荣卫俱病，骨节烦疼，当发其汗也。
寸口脉浮而数，浮为风，数为热，风为虚，虚为寒，风虚相搏，则洒淅恶寒也。
问曰：病有洒淅恶寒而复发热者何也？师曰：阴脉不足，阳往从之；阳脉不足，阴往乘之也。何谓阳脉不足？师曰：假令寸口脉微，名曰阳不足，阴气上入阳中，则洒淅恶寒也，何谓阴不足？师曰：假令尺脉弱，名曰阴不足，阳气下陷入阴中，则发热也。阴脉弱者，则血虚。血虚则筋急也。其脉涩者，荣气微也。其脉浮而汗出如流珠者，卫气衰也。荣气微者，加烧针，则血留不行，更发热而躁烦也。
寸口脉阴阳俱紧者，法当清邪中于上焦，浊邪中于下焦。清邪中于上，名曰洁也；浊邪中于下，名曰浑也，阴中于邪，必内栗也，表气微虚，里气不守，故使邪中于阴也。阳中于邪，必发热、头痛、项强、颈挛、腰痛、胫酸，所谓阳中雾露之气，故曰清邪中上。浊邪中下，阴气为栗，足膝逆冷，便溺妄出，表气微虚，里气微急，三焦相混，内外不通，上焦怫郁，脏气相熏，口烂食断也。中焦不治，胃气上冲，脾气不转，胃中为浊，荣卫不通，血凝不流。若胃气前通者，小便赤黄，与热相搏，因热作使，游于经络，出入脏腑，热气所过，则为痈脓。若阴气前通者，阳气厥微，阴无所使，客气内入，嚏而出之，声嗢咽塞，寒厥相追，为热所拥，血凝自下，状如豚肝，阴阳俱厥，脾气弧弱，五液注下，下焦不阖，清便下重，令便数难，脐筑湫痛，命将难全。
寸口脉阴阳俱紧者，口中气出，唇口干燥，蜷卧足冷，鼻中涕出，舌上胎滑，勿妄治也。到七日以来，其人微发热，手足温者，此为欲解；或到八日以上，反大发热者，此为难治。设使恶寒者，必欲呕也；腹内痛者，必欲利也
寸口脉阴阳俱紧，至于吐利，其脉独不解，紧去人安，此为欲解。若脉迟至六七日，不欲食，此为晚发，水停故也，为未解；食自可者，为欲解。
寸口脉浮而大，有热，心下反鞕，属脏者攻之，不令发汗。属腑者不令溲数。溲数则大便鞕，汗多则热甚，脉迟者尚未可攻也。
问曰：病有战而汗出，因得解者，何也？师曰：脉浮而紧，按之反芤，此为本虚，故当战而汗出也。其人本虚，是以发战。以脉浮紧，故当汗出而解也。若脉浮数，按之不芤，此人本不虚；若欲自解，但汗出耳，不发战也。
问曰：病有不战而汗出解者何也？师曰：脉大而浮数，故不战汗出而解也。
问曰：病有不战不汗出而解者，何也？答曰：其脉自微，此以曾发汗、若吐、若下、若亡血，以内无津液，此阴阳自和，必自愈，故不战不汗出而解也。
问曰：伤寒三日，脉浮数而微，病人身凉和者，何也？师曰：此为欲解也。解以夜半。浮而解者，濈然汗出也；数而解者，必能食也；微而解者，必大汗出也。
脉浮而迟，面热赤而战惕者，六七日当汗出而解。反发热者差迟。迟为无阳，不能作汗，其身必痒也。
病六七日，手足三部脉皆至，大烦而口噤不能言，其人躁扰者，未欲解也。若脉和，其人不烦，目重，睑内际黄者，此欲解也。
师曰：伏气之病，以意候之，今月之内，欲知伏气。假令旧有伏气，当须脉之。若脉微弱者，当喉中痛似伤，非喉痹也。病人云：实咽中痛，虽尔，今复宜下之。
师曰：病家人请云：病人苦发热，身体疼，病人自卧，师到，诊其脉，沉而迟者，知其差也；何以知之？凡表有病者，脉当浮大，今反沉迟故知愈也；假令病人云：腹内卒痛，病人自坐，师到，脉之，浮而大者，知其差也；凡里有病者，脉当沉细，今反浮大，故知愈也。
师曰：病家人来请云，病人发热，烦极。明日师到，病人向壁卧，此热已去也。设令脉不和，处言已愈。设令向壁卧，闻师到，不惊起而盼视，若三言三止，脉之，咽唾者，此诈病也。设令脉自和，处言此病大重，当须服吐下药，针灸数十百处，乃愈。
问曰：脉有灾怪，何谓也？师曰：假令人病，脉得太阳，与形证相应，因为作汤。比还送汤如食顷，病人乃大吐，若下利，腹中痛。师曰：我前来不见此证，今乃变异，是名灾怪。又问曰：何缘得此吐利？师曰：或有旧时服药，今乃发作，故名灾怪耳。
问曰：脉有阴阳，何谓也？师曰：凡脉大、浮、数、动、滑，此名阳也；凡脉沉、涩、迟、弦、微，此名阴也，凡阴病见阳脉者生，阳病见阴脉者死。
阴阳相搏名曰动，阳动则汗出，阴动则发热，形冷恶寒者，此三焦伤也。若脉数见于关上，上下无头尾如豆大，厥厥然动摇者，名曰动也。脉来缓，时一止复来者，名曰结。脉来数，时一止复来者，名曰促。脉阳盛则促，阴盛则结，此皆病脉。又脉来动而中止，更来小数，中有还者反动，名曰结阴也；脉来动而中止，不能自还，因而复动者，名曰代阴也；得此脉者，必难治。脉阴阳俱促，当病血，为实；阴阳俱结，当亡血，为虚；假令促上寸口者，当吐血，或衄；下尺中者，当下血；若乍促乍结为难治。脉数者，久数不止，止则邪结，正气不能复，却结于脏；故邪气浮之，与皮毛相得脉数者，不可下，下之，必烦利不止。
问曰：脉有阳结阴结者，何以别之？师曰：其脉浮而数，能食，不大便者，此为实，名曰阳结也，期十七日当剧。其脉沉而迟，不能食，身体重，大便反鞕，名曰阴结也。期十四日当剧。
问曰：脉有残贼，何谓也？师曰：脉有弦、紧、浮、滑、沉、涩，此六脉，名曰残贼，能为诸脉作病也。
问曰：脉有相乘、有纵、有横、有逆、有顺，何也？师曰：水行乘火，金行乘木，名曰纵；火行乘水，木行乘金，名曰横；水行乘金，火行乘木，名曰逆；金行乘水，木行乘火，名曰顺也。
脉阴阳俱弦，无寒热，为病饮。在浮部，饮在皮肤；在中部，饮在经络；在沉部，饮在肌肉；若寸口弦，饮在上焦；关上弦，饮在中焦；尺中弦，饮在下焦。
脉弦而紧者，名曰革也。弦者状如弓弦，按之不移也。紧者如转索无常也。
脉弦而大，弦则为减，大则为芤。减则为寒，芤则为虚。寒虚相搏，此名为革。妇人则半产、漏下，男子则亡血、失精。
问曰：曾为人所难，紧脉从何而来？师曰：假令亡汗、若吐，以肺里寒，故令脉紧也。假令咳者，坐饮冷水，故令脉紧也。假令下利，以胃中虚冷，故令脉紧也。
寸口脉浮而紧，医反下之，此为大逆。浮则无血，紧则为寒，寒气相搏，则为肠鸣，医乃不知，而反饮冷水，令汗不出，水得寒气，冷必相搏，其人即饐。
寸口脉浮而大，浮为风虚，大为气强，风气相搏，必成隐疹，身体为痒。痒者名曰泄风，久久为痂癞。
寸口脉浮而大，浮为虚，大为实；在尺为关，在寸为格；关则不得小便，格则吐逆。
寸口脉微而涩，微者卫气不行，涩者荣气不逮。荣卫不能相将，三焦无所仰，身体痹不仁。荣气不足，则烦疼，口难言；卫气虚者，则恶寒数欠。三焦不归其部，上焦不归者，噫而酢吞；中焦不归者，不能消谷引食；下焦不归者，则遗溲。
寸口脉微而涩，微者卫气衰，涩者荣气不足。卫气衰则面色黄；荣气不足则面色青。荣为根，卫为叶。荣卫俱微，则根叶枯槁，而寒栗咳逆，唾腥吐涎沫也。
寸口脉微而缓，微者卫气疏，疏则其肤空；缓者胃气实，实则谷消而水化也。谷入于胃，脉道乃行，水入于经，其血乃成。荣盛则其肤必疏，三焦绝经，名曰血崩。
寸口脉弱而缓，弱者阳气不足，缓者胃气有余，噫而吞酸，食卒不下，气填于膈上也。
寸口脉弱而迟，弱者卫气微，迟者荣中寒；荣为血，血寒则发热；卫为气，气微者心内饥，饥而虚满不能食也。
寸口脉洪数，按之弦急者，当发瘾疹；假令脉浮数，按之反平者，为外毒；脉数大，按之弦直者，为内毒，宜升之，令其外出也；误攻则内陷，内陷则死。
寸口脉洪数，按之急滑者，当发痈脓；发热者，暴出；无热者，久久必至也。
寸口脉浮滑，按之弦急者，当发内痈；咳嗽胸中痛为肺痈，当吐脓血；腹中掣痛为肠痈，当便脓血。
寸口脉大而涩，时一弦，无寒热，此为浸淫疮所致也；若加细数者，为难治。
趺阳脉紧而浮，浮为气，紧为寒。浮为腹满，紧为绞痛。浮紧相搏，肠鸣而转，转即气动，隔气乃下。少阴脉不出，其阴肿大而虚也。
趺阳脉浮，浮则为虚，浮虚相搏，故令气饐，言胃气虚竭也；此为医咎，责虚取实，守空迫血；脉滑则为哕，脉浮鼻中燥者，必衄也。
趺阳脉迟而缓，胃气如经也。趺阳脉浮而数，浮则伤胃，数则动脾，此非本病，医特下之所为也。荣卫内陷，其数先微，脉反但浮，其人必大便鞕，气噫不除。何以言之？本以数脉动脾，其数先微，故知脾气不治，大便鞕，气噫不除。今脉反浮，其数改微，邪气独留，心中则饥，邪热不杀谷，潮热发渴，数脉当迟，缓病者则饥。数脉不时，则生恶疮也。
趺阳脉浮而涩，少阴脉如经者，其病在脾，法当下利。何以知之？若脉浮大者，气实血虚也。今趺阳脉浮而涩，故知脾气不足，胃气虚也。以少阴脉弦，而沉才见，此为调脉，故称如经也。若反滑而数者，故知当屎脓也。
趺阳脉浮而芤，浮者胃气虚，芤者荣气伤，其身体瘦，肌肉甲错，浮芤相搏，宗气衰微，四属断绝也。
趺阳脉浮而大，浮为气实，大为血虚；血虚为无阴，孤阳独下阴部者，小便当赤而难，胞中当虚；今小便利，而大汗出，法应胃家当微；今反更实，津液四射，荣竭血尽，干烦而不眠，血薄肉消而成暴液；医复以毒药攻其胃，此为重虚，客阳去有期，必下如淤泥而死。
问曰：翕奄沉名曰滑，何谓也？师曰：沉为纯阴，翕为正阳，阴阳和合，故令脉滑。关尺自平。
趺阳脉微沉，食饮自平；少阴脉微滑，滑者紧之浮名也，此为阴实，其人必股内汗出，阴下湿也。
趺阳脉浮而滑，浮为阳，滑为实，阳实相搏，其脉数疾，卫气失度，浮滑之脉数疾，发热汗出者，此为不治。
趺阳脉滑而紧，滑者胃气实，紧者脾气强。持实击强，痛还自伤，以手把刃，坐作疮也。
师曰：病人脉微而涩者，此为医所病也。大发其汗，又数大下之，其人亡血，病当恶寒，后乃发热，无休止时，夏月盛热，欲著复衣，冬月盛寒，欲裸其身，所以然者，阳微则恶寒，阴弱则发热，此医发其汗，使阳气微，又大下之：令阴气弱，五月之时，阳气在表，胃中虚冷，以阳气内微，不能胜冷，故欲著复衣；十一月之时，阳气在里，胃中烦热，以阴气内弱，不能胜热，故欲裸其身。又阴脉迟涩，故知血亡也。
少阴脉不至，肾气微，少精血，奔气促迫，上入胸隔，宗气反聚，血结心下，阳气退下，热归阴股，与阴相动，令身不仁，此为尸厥。当刺期门、巨阙。
妊娠脉弦数而细，少腹痛，手心热，此为热结胞中，不先其时治之，必有产难。
产后脉洪数，按之弦急，此为浊未下；若浊已下而脉如故者，此为魂脱，为难治。
诸脉浮数，当发热而洒淅恶寒，若有痛处，饮食如常者，畜积有脓也。
问曰：人恐怖者，其脉何状？师曰：脉形如循丝累累然，其面白脱色也。
师曰：寸口诸微亡阳，诸濡亡血，诸弱发热，诸紧为寒。诸乘寒者则为厥，郁冒不仁，以胃无谷气，脾涩不通，口急不能言，战而栗也。
If the pulse is floating and located at the cun position (front), the disease is in the exterior; if floating and located at the chi position (back), the disease is in the interior. If the pulse is soggy (Ru) and extends up to the Yuji point, this indicates leakage of Zong Qi (Gathering Qi). If the pulse is isolated and sinks into the lower chi region, it indicates that essence fails to be stored. If the pulse fluctuates suddenly high and low, rising and falling erratically, it is difficult to treat.
At the Cun Kou (Radial Artery) position, a slow and moderate pulse indicates the growth of Yang Qi, resulting in a fresh complexion, lustrous face, clear voice (like the Metal element), and long hair. A delayed pulse indicates abundant Yin Qi, generation of bone marrow, full blood, and tight, thin, yet bright and firm muscles. When Yin and Yang embrace each other, Ying Qi (Nutritive Qi) and Wei Qi (Defensive Qi) circulate together, and rigidity and flexibility harmonize, this is called strength.
A floating pulse at Cun Kou indicates an exterior disease; a deep pulse indicates an interior disease; a rapid pulse indicates a Fu-organ disease; a delayed pulse indicates a Zang-organ disease. For instance, a delayed pulse signifies a Zang-organ disease.
A floating and tight pulse at Cun Kou: floating indicates Wind, tight indicates Cold. Wind injures Wei Qi, Cold injures Ying Qi. When both Ying and Wei are diseased, causing severe joint pain, sweating therapy should be applied.
A floating and rapid pulse at Cun Kou: floating indicates Wind, rapid indicates Heat. Wind leads to deficiency, deficiency leads to Cold. The combat between Wind and Deficiency-Cold results in shivering aversion to cold.
Question: Why does a patient experience shivering aversion to cold followed by fever? Master said: When Yin pulses are insufficient, Yang follows them; when Yang pulses are insufficient, Yin invades them. What is meant by insufficient Yang pulse? Master said: If the Cun pulse is faint, it is called Yang insufficiency, where Yin Qi enters the Yang region, causing shivering aversion to cold. What is meant by insufficient Yin pulse? Master said: If the Chi pulse is weak, it is called Yin insufficiency, where Yang Qi sinks into the Yin region, causing fever. Weak Yin pulses indicate Blood deficiency. Blood deficiency leads to tendon tension. A choppy pulse indicates weak Ying Qi. A floating pulse with sweat like flowing beads indicates declining Wei Qi. If Ying Qi is weak and moxibustion is added, blood stagnates, leading to increased fever and restlessness.
When both Yin and Yang pulses at Cun Kou are tight, according to the method, Clear Evil attacks the Upper Jiao, and Turbid Evil attacks the Lower Jiao. Clear Evil attacking the upper part is called "Jie" (Pure); Turbid Evil attacking the lower part is called "Hun" (Turbid). When Yin is attacked by evil, internal trembling occurs due to slight deficiency of exterior Qi and failure of interior Qi to guard, allowing evil to enter Yin. When Yang is attacked by evil, fever, headache, neck stiffness, cervical spasm, lower back pain, and leg soreness occur. This is known as Yang being attacked by mist and dew (Clear Evil attacking above). Turbid Evil attacking below causes Yin trembling, cold feet and knees, incontinence, slight exterior deficiency, and slight interior urgency. The Three Jiao become mixed, internal and external communication stops, Upper Jiao becomes depressed, Zang Qi薰 (fumes) each other, causing oral ulcers and inability to eat. Middle Jiao dysfunction leads to stomach Qi rushing upward, spleen Qi failing to transform, turbidity forming in the stomach, Ying and Wei blocked, and blood coagulating without flow. If stomach Qi connects forward, urine becomes dark yellow; combined with heat, it travels through meridians and organs, causing abscesses and pus where heat passes. If Yin Qi connects forward, Yang Qi becomes厥 (reverted) and weak, Yin has no use, guest Qi enters internally, sneezing expels it, voice becomes hoarse with throat blockage, cold and heat clash, blood coagulates and flows downward resembling pig liver. Both Yin and Yang revert, spleen Qi becomes isolated and weak, five fluids pour down, Lower Jiao fails to close, clear stool feels heavy, frequent difficult defecation occurs, umbilical throbbing pain arises, and life is endangered.
When both Yin and Yang pulses at Cun Kou are tight, with breath exiting the mouth, dry lips and tongue, curled posture, cold feet, nasal discharge, and a slippery coating on the tongue, do not treat rashly. By the seventh day, if the patient has slight fever and warm hands and feet, recovery is imminent. If after eight days there is sudden high fever, it is difficult to treat. If accompanied by aversion to cold, vomiting is likely; if abdominal pain occurs, diarrhea is likely.
When both Yin and Yang pulses at Cun Kou are tight, leading to vomiting and diarrhea, if the pulse alone remains unresolved but the tightness disappears and the patient feels comfortable, recovery is imminent. If the delayed pulse persists for six to seven days with loss of appetite, this is late onset due to water retention, indicating non-recovery. If appetite returns, recovery is imminent.
A floating and large pulse at Cun Kou with heat and hardness in the epigastrium: if belonging to Zang organs, purge it, do not induce sweating. If belonging to Fu organs, do not cause frequent urination. Frequent urination hardens stool; excessive sweating intensifies heat. If the pulse is delayed, purging is not yet appropriate.
Question: Why does a patient resolve through shaking and sweating? Master said: A floating and tight pulse that feels hollow upon pressure indicates underlying deficiency, hence shaking precedes sweating. Due to inherent deficiency, shaking occurs. Because the pulse is floating and tight, sweating resolves the condition. If the pulse is floating and rapid without hollow feeling, the patient is not inherently deficient; self-resolution involves only sweating without shaking.
Question: Why does a patient resolve through sweating without shaking? Master said: A large, floating, and rapid pulse allows resolution through sweating without shaking.
Question: Why does a patient resolve without shaking or sweating? Answer: A naturally faint pulse indicates previous sweating, vomiting, purging, or blood loss, leading to internal fluid depletion. Self-harmonization of Yin and Yang ensures spontaneous recovery without shaking or sweating.
After three days of Shang Han, if the pulse is floating, rapid, and faint, and the body is cool and peaceful, recovery is imminent, occurring at midnight. Floating pulse resolution brings continuous sweating; rapid pulse resolution restores appetite; faint pulse resolution brings profuse sweating.
A floating and delayed pulse with facial flushing and trembling indicates resolution via sweating within six to seven days. Persistent fever delays recovery. Delayed pulse implies lack of Yang, preventing sweating, causing itching.
After six to seven days of illness, if pulses at hand and foot are all present, accompanied by severe irritability, locked jaw, and restlessness, recovery is not imminent. If the pulse is harmonious, the patient is calm, eyes heavy, and inner eyelids yellow, recovery is imminent.
Master said: Latent Qi diseases require careful observation. To detect latent Qi within the month, examine the pulse. If latent Qi exists historically, a faint pulse suggests throat pain resembling injury but not Hou Bi (sore throat/throat obstruction). Although the patient reports severe throat pain, purgation is appropriate.
Master said: Family reports fever and body ache with the patient lying quietly. Upon examination, a deep and delayed pulse indicates impending recovery. Exterior diseases typically show floating and large pulses; reversal to deep and delayed signals healing. If family reports sudden abdominal pain with the patient sitting, a floating and large pulse indicates recovery. Interior diseases typically show deep and fine pulses; reversal to floating and large signals healing.
Master said: Family reports fever and extreme irritability. Next day, patient lies facing the wall, indicating heat has subsided. If the pulse is discordant but the patient claims cure, suspect deception. If facing the wall, looking around upon master's arrival, speaking intermittently, and swallowing saliva during pulse diagnosis, it is feigned illness. Even if the pulse is harmonious, declare the disease severe, requiring emetics, purgatives, and extensive acupuncture/moxibustion for cure.
Question: What is Pulse Disaster (Zai Guai)? Master said: If a patient presents with Tai Yang pulse matching symptoms, and upon administering decoction, they suddenly vomit or suffer diarrhea with abdominal pain shortly after, this unexpected change is called Disaster. Cause: possibly old medication taken previously now taking effect.
Shang Za Bing Lun Volume 2
Pulse Diagnosis Chapter 2
Question: What are Yin and Yang pulses? Master said: Large, floating, rapid, moving, and slippery pulses are Yang. Deep, choppy, delayed, wiry, and faint pulses are Yin. Yin diseases showing Yang pulses survive; Yang diseases showing Yin pulses die.
Combat between Yin and Yang is called Moving (Dong). Yang movement causes sweating; Yin movement causes fever. Cold form and aversion to cold indicate San Jiao injury. Rapid pulse at Guan position, bean-sized without head/tail, quivering, is Moving. Slow pulse with intermittent stopping is Knotting (Jie). Rapid pulse with intermittent stopping is Urgency (Cu). Yang excess causes Cu, Yin excess causes Jie. These are pathological pulses. Pulse stopping and returning slightly faster is Yin Knotting. Pulse stopping and failing to return immediately is Yin Replacement (Dai). These are difficult to treat. Both Yin and Yang Cu indicates blood stasis (Excess). Both Yin and Yang Jie indicates blood loss (Deficiency). Cu at Cun indicates hematemesis or epistaxis. Cu at Chi indicates hematochezia. Alternating Cu and Jie is difficult to treat. Persistent rapid pulse with stopping indicates pathogen knotting and failure of righteous Qi to recover, knotting in Zang organs. Pathogen floats with skin/hair. Rapid pulse contraindicates purging; purging causes restlessness and persistent diarrhea.
Question: How to distinguish Yang Knotting from Yin Knotting? Master said: Floating, rapid pulse with appetite but constipation is Excess, called Yang Knotting, worsening on day 17. Deep, delayed pulse with anorexia, heaviness, and hard stool is Yin Knotting, worsening on day 14.
Pulse resembling a chariot canopy is Yang Knotting. Pulse resembling a long bamboo pole is Yin Knotting. Pulse resembling fat floating on soup indicates weak Yang Qi. Pulse resembling spider silk indicates declining Yin Qi. Pulse resembling dripping lacquer indicates blood loss.
Question: What are Destructive Pulses? Master said: Wiry, tight, floating, slippery, deep, and choppy pulses are destructive, capable of causing pathology in other pulses.
Question: What are Overcoming, Vertical, Horizontal, Reverse, and Smooth? Master said: Water overcoming Fire, Metal overcoming Wood is Vertical. Fire overcoming Water, Wood overcoming Metal is Horizontal. Water overcoming Metal, Fire overcoming Wood is Reverse. Metal overcoming Water, Wood overcoming Fire is Smooth.
Question: Why do Soggy and Weak pulses relate to eleven heads? Master said: Interactions among Five Zang and Six Fu organs create eleven categories.
Both Yin and Yang pulses wiry without chills/fever indicate Fluid Retention. Floating position: Fluid in skin. Middle position: Fluid in meridians. Deep position: Fluid in muscles. Wiry at Cun: Fluid in Upper Jiao. Wiry at Guan: Fluid in Middle Jiao. Wiry at Chi: Fluid in Lower Jiao.
Wiry and tight pulse is called Leather (Ge). Wiry feels like a bowstring, unyielding to pressure. Tight feels like twisting rope.
Wiry and large pulse: Wiry indicates reduction, Large indicates Hollow. Reduction indicates Cold, Hollow indicates Deficiency. Cold and Deficiency combining is Leather. In women: miscarriage, bleeding. In men: blood loss, seminal emission.
Question: From where does the tight pulse arise after difficulty? Master said: Profuse sweating or vomiting causing Lung Cold creates tight pulse. Coughing due to drinking cold water creates tight pulse. Diarrhea due to Stomach deficiency-cold creates tight pulse.
Cun Kou floating and tight, treated with purging, is major error. Floating indicates blood deficiency, tight indicates Cold. Cold combats, causing borborygmus. Doctor mistakenly gives cold water to stop sweating; water meets cold, causing stagnation.
Cun Kou faint, Chi tight: deficiency, excessive sweating, Yin prevails, Yang absent.
Cun Kou floating and large: Floating indicates Wind-Deficiency, Large indicates Qi-Strength. Wind and Qi combat, causing hidden rashes and itching. Itching is called Wind Leakage, becoming crusty eczema over time.
Cun Kou floating and large: Floating is Deficiency, Large is Excess. At Chi is Guan (blockage), at Cun is Ge (regurgitation). Guan prevents urination; Ge causes vomiting.
Cun Kou faint and choppy: Faint indicates Wei Qi stagnation, Choppy indicates Ying Qi failure. Ying and Wei cannot coordinate, San Jiao lacks support, body becomes numb. Ying deficiency causes painful irritability and speech difficulty. Wei deficiency causes aversion to cold and yawning. Upper Jiao dysfunction causes belching and acid regurgitation. Middle Jiao dysfunction causes indigestion. Lower Jiao dysfunction causes incontinence.
Cun Kou faint and choppy: Faint indicates Wei Qi decline, Choppy indicates Ying Qi deficiency. Wei decline causes sallow complexion. Ying deficiency causes bluish complexion. Ying is root, Wei is leaf. Both weak leads to withered roots/leaves, chills, cough, bloody sputum, and salivation.
Cun Kou faint and slow: Faint indicates sparse Wei Qi, empty skin. Slow indicates strong Stomach Qi, digesting food and transforming water. Food enters stomach, meridians flow; water enters channels, blood forms. Abundant Ying makes skin loose, San Jiao meridians break, called Blood Collapse.
Cun Kou weak and slow: Weak indicates Yang insufficiency, Slow indicates excess Stomach Qi. Belching, acid regurgitation, sudden food intolerance, Qi blocking epigastrium.
Cun Kou weak and delayed: Weak indicates faint Wei Qi, Delayed indicates Cold in Ying. Ying is Blood; Blood Cold causes fever. Wei is Qi; faint Qi causes hunger with false fullness and anorexia.
Cun Kou weak and choppy, Chi floating and large, without exterior signs: Internal injury.
Cun Kou weak and choppy, Chi soggy and weak: Men lose essence; women have leukorrhea.
Cun Kou surging and rapid, wiry and urgent upon pressure: Urticaria likely. Floating and rapid, flat upon pressure: External toxin. Rapid and large, wiry and straight upon pressure: Internal toxin. Lift to expel externally; purging causes internal collapse and death.
Cun Kou surging and rapid, urgent and slippery upon pressure: Abscess/pus likely. With fever: sudden onset. Without fever: delayed onset.
Cun Kou floating and slippery, wiry and urgent upon pressure: Internal abscess. Cough/chest pain expectorating pus/blood: Lung Abscess. Abdominal pulling pain passing pus/blood: Intestinal Abscess.
Cun Kou large and choppy, occasionally wiry, no chills/fever: Eczema. Adding fine and rapid: difficult to treat.
Fu Yang tight and floating: Floating is Qi, Tight is Cold. Floating causes abdominal fullness, Tight causes colic. Combining causes borborygmus and Qi movement downward. Shao Yin pulse absent: genital swelling and flaccidity.
Fu Yang faint and tight: Tight is Cold, Faint is Deficiency. Combining causes shortness of breath.
Fu Yang large and tight: Immediate diarrhea, difficult to treat.
Fu Yang floating: Floating is Deficiency. Deficiency-Combination causes Qi stagnation, indicating Stomach Qi exhaustion. Doctor's error: treating deficiency as excess, forcing blood from emptiness. Slippery pulse causes hiccups. Floating pulse with dry nose indicates epistaxis.
Fu Yang delayed and slow: Normal Stomach Qi. Fu Yang floating and rapid: Floating injures Stomach, Rapid moves Spleen. Not original disease, but doctor-induced purging. Ying/Wei sink inward, rapid pulse becomes faint, pulse becomes floating, stool hardens, belching persists. Original rapid pulse moved Spleen; fading rapid pulse indicates Spleen dysfunction, hard stool, persistent belching. Current floating pulse with faint rapid indicates pathogen remaining, hunger, heat failing to digest, tidal fever/thirst. Irregular rapid pulse causes malignant sores.
Fu Yang floating and choppy, Shao Yin normal: Disease in Spleen, diarrhea expected. Floating-large indicates Qi excess/Blood deficiency. Current Fu Yang floating-choppy indicates Spleen deficiency/Stomach weakness. Shao Yin wiry/deep is normal regulation. Slippery-rapid indicates pus in stool.
Fu Yang floating and hollow: Floating is Stomach Qi deficiency, Hollow is Ying Qi injury. Emaciation, skin like fish scales. Combining indicates Zong Qi decline, severance of four limbs.
Fu Yang floating and large: Floating is Qi excess, Large is Blood deficiency. Blood deficiency means Yin absence, solitary Yang descends to Yin regions, causing dark difficult urination and bladder emptiness. Current free urination and profuse sweating suggest Stomach should be weak, but instead is excess, fluids scatter, Ying exhausted, blood depleted, dry irritability, insomnia, flesh wasting, sudden fluid loss. Doctor uses toxic drugs on Stomach: double deficiency, departing Yang, death with muddy stool.
Question: What is Sliding (Hua) pulse? Master said: Deep is Pure Yin, Covering is Positive Yang. Harmony creates Sliding pulse. Guan and Chi are balanced.
Fu Yang faint-deep: Normal eating/drinking. Shao Yin faint-sliding: Sliding is floating-tight, indicating Yin Excess, thigh sweating, damp genitals.
Fu Yang floating-slippery: Floating is Yang, Slippery is Excess. Yang-Excess combat causes rapid pulse, Wei Qi disorder. Rapid-floating-slippery with fever/sweating: Incurable.
Fu Yang sliding-tight: Sliding is Stomach Qi excess, Tight is Spleen Qi strength. Excess striking strength harms self, like holding a blade, creating sores.
Fu Yang deep-faint: Deep is Excess, rapid digestion. Tight indicates difficult treatment.
Fu Yang hidden-choppy: Hidden causes vomiting/regurgitation, undigested food. Choppy prevents eating, called Guan Ge (Obstruction/Regurgitation).
Master said: Faint-choppy pulse indicates iatrogenic error. Excessive sweating and purging cause blood loss. Chills then fever without cessation. Summer heat: desire for thick clothes. Winter cold: desire to naked. Yang faint causes chills; Yin weak causes fever. Doctor weakened Yang via sweating and Yin via purging. May (Yang in exterior): Stomach cold, Yang unable to resist cold, desire for clothes. November (Yang in interior): Stomach heat, Yin unable to resist heat, desire to naked. Delayed-choppy Yin pulse confirms blood loss.
Shao Yin weak-choppy: Weak causes slight irritability, Choppy causes cold extremities.
Fu Yang absent: Spleen fails to ascend/descend, body cold, skin hard.
Shao Yin absent: Kidney Qi weak, essence/blood scarce, rushing Qi presses upward into chest/diaphragm, Zong Qi gathers, blood knots heart, Yang retreats, heat goes to inner thighs, interacts with Yin, causing insensibility. Called Corpse Jue. Moxa/acupuncture Qimen, Juque.
Pregnancy wiry-rapid-fine pulse, lower abdominal pain, hot palms: Heat knot in uterus. Untreated: difficult labor.
Postpartum surging-rapid, wiry-urgent upon pressure: Turbid lochia not expelled. If lochia expelled but pulse unchanged: Soul departure, difficult to treat.
All floating-rapid pulses with fever/shivering and localized pain, normal diet: Pus accumulation.
Question: Terror pulse? Master said: Thread-like, continuous pulse, pale face.
Question: Dehydration pulse? Master said: Choppy pulse, dry lips/mouth.
Question: Shame pulse? Master said: Floating pulse, alternating red/white face.
Master said: All faint Cun Kou pulses indicate Yang loss. All soggy pulses indicate Blood loss. All weak pulses indicate fever. All tight pulses indicate Cold. Cold invasion causes Jue, dizziness, insensibility, Stomach lacking Grain Qi, Splee stuck, speech difficulty, trembling.
Master said: Fever causes restless pulse, chills cause quiet pulse. Pulse changing with syndrome indicates Malaria.
Master said: Shang Han with cough/reverse Qi, scattered pulse: Death due to physical depletion.
Master said: Fluctuating pulse size/rest, fearfulness: Spirit disturbance from Gallbladder, Qi exhaustion.